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Sudden onset bilateral sensorineural hearing loss: a manifestation of occult breast carcinoma

Published online by Cambridge University Press:  08 March 2006

H. S. Uppal ,
C. A. Ayshford  and
F. Wilson
H. S. Uppal
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Russells Hall Hospital, Dudley, UK
C. A. Ayshford
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Russells Hall Hospital, Dudley, UK
F. Wilson
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Russells Hall Hospital, Dudley, UK
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Abstract

Diffuse infiltration of the meninges by metastatic carcinoma (meningeal carcinomastosis) is a potential complication of systemic malignancy. It may present with a variety of neurological symptoms as any aspect of the neuraxis can be affected. Often there is a history of pre-existing malignancy.

The authors describe a case with an initial presentation of sudden onset profound bilateral sensorineural hearing loss. The underlying pathology was found to be an occult breast carcinoma, a previously unreported finding.

The role of cerebrospinal fluid cytology and radio-imaging in diagnosis is discussed. All previously reported cases of sudden hearing loss and meningeal carcinomatosis are reviewed.

Keywords

Hearing Loss, BilateralMeningeal NeoplasmsBreast Neoplasms
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 115 , Issue 11 , November 2001 , pp. 907 - 910
Copyright
© Royal Society of Medicine Press Limited 2001

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